DR. JOHN S. JORDAN D.C. NPI 1811047566

NPI Information

  • NPI: 1811047566
  • Provider Name: DR. JOHN S. JORDAN, D.C.
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Individual
  • Address: 300 N MAIN ST STE C
    CROWN POINT, IN
    ZIP 46307
  • Phone: (219) 662-7711

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NPI Details

DR. John S. Jordan, D.C. is a chiropractor in Crown Point, IN. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. DR. John S. Jordan, D.C. NPI is 1811047566. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

300 N MAIN ST STE C
CROWN POINT, IN
ZIP 46307-281
Phone: (219) 662-7711
Fax: (219) 662-7740

The enumeration date for this NPI number is 1/12/2007 and was last updated on 11/22/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor08001394INDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000000184405MEDICARE UPININDIANA
2351875464100MEDICAIDINDIANA
3000000184405OTHERINDIANAANTHEM BLUE CROSS BLUE SH
4100147680MEDICAIDINDIANA
5P00066063MEDICARE ID-TYPE UNSPECIFIEDGEORGIARAILROAD MEDICARE
6404810AMEDICARE ID-TYPE UNSPECIFIEDINDIANAINDIANA MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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